中国医院用药评价与分析2024，Vol.24Issue(7)：866-870,5.DOI:10.14009/j.issn.1672-2124.2024.07.021
基于电子病历六级标准建设门诊合理用药闭环管理模式
Closed-Loop Management Mode of Rational Drug Use Based on the Level-Six Standard of Electronic Medical Record System
摘要
Abstract
OBJECTIVE:To establish the closed-loop management mode of rational drug use in the hospital based on the level-six standard of electronic medical record system,so as to escort the rational drug use of outpatients and provide reference for the construction of intelligent pharmacy.METHODS:Artificial intelligence technology was used to manage all aspects of rational drug use in outpatient department,such as physician prescription,pharmacist review,drug dispensing and prescription review,the closed-loop system was established in line with the level-six standard of electronic medical record system.Meanwhile,the irrational rate of outpatient prescriptions before closed-loop management(from Mar.to May 2023)and after closed-loop management(from Jun.to Aug.2023)were analyzed retrospectively.RESULTS:After implementation of the closed-loop management mode of rational drug use in outpatient department,the irrational rate of outpatient prescriptions was 3.56%(40723/1145056),which was 1.01%lower than 4.57%(52681/1153154)before management,the difference was statistically significant(P<0.01).The number of prescriptions for other types of inappropriate drugs except for the selection of unsuitable drugs decreased significantly.The average drug cost per outpatient visit was 146.20 RMB,with a reduction of 7.67%compared with before management cost of 158.35 RMB,effectively improving the performance assessment indicators of public hospitals.CONCLUSIONS:The closed-loop management mode of rational drug use in outpatients established by the hospital meets the requirements of the level-six standard of electronic medical record system,which can standardize the work flow of medical personnel and reduce irrational drug use in outpatient department.关键词
电子病历六级/合理用药/闭环/管理模式Key words
Level-six standard of electronic medical record system/Rational drug use/Closed-loop/Management mode分类
医药卫生引用本文复制引用
钱磊,李鸽,阮晓敏,方玲..基于电子病历六级标准建设门诊合理用药闭环管理模式[J].中国医院用药评价与分析,2024,24(7):866-870,5.基金项目
吴阶平医学基金项目(No.320.6750.19090-17) （No.320.6750.19090-17）
